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1912788068
NATHAN ANDERSON
EAU CLAIRE, WI
NPI
1912788068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 4092-19)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
NATHAN ANDERSON
1634 DRURY AVE
EAU CLAIRE, WI 54703-1817
Phone number: 715-828-8045
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Mailing Address
NATHAN ANDERSON
1634 DRURY AVE
EAU CLAIRE, WI 54703-1817
Phone number: 715-828-8045
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